Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $1,380.38 / $5,623.41	Facility		$165.96	$1,380.38	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $131.83 / $281.84	Professional		$75.86	$131.83	$281.84
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $199.53 / $346.74 / $524.81	Professional	50	$199.53	$346.74	$524.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,023.29 / $1,621.81	Facility		$794.33	$1,023.29	$1,621.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $144.54 / $239.88	Professional		$93.33	$144.54	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $147.91 / $251.19	Professional		$89.13	$147.91	$251.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $218.78 / $575.44	Professional		$112.20	$218.78	$575.44
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $97.72 / $177.83	Professional		$91.20	$97.72	$177.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,479.11 / $3,715.35	Facility		$575.44	$1,479.11	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $141.25 / $245.47	Professional		$83.18	$141.25	$245.47